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UNIVERSITY PEDIATRICS FOUNDATION INC. NPI 1518235704


NPI Information

NPI: 1518235704
Provider Name: UNIVERSITY PEDIATRICS FOUNDATION, INC.

Doing Business As: UNIVERSITY CHILD HEALTH SPECIALISTS, INC.

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
210 E GRAY ST
STE. 802
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-6633
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UNIVERSITY PEDIATRICS FOUNDATION, INC. is an adolescent medicine pediatrics in Louisville, KY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. UNIVERSITY PEDIATRICS FOUNDATION, INC. NPI is 1518235704. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As University Child Health Specialists, Inc..

The provider's business location address is:

210 E GRAY ST
STE. 802
LOUISVILLE, KY
ZIP 40202-900
Phone: (502) 852-6633
Fax: (502) 852-7743

The provider's authorized official is Gerard P Rabalais .
The authorized official title is Chairman and has the following contact phone number (502) 852-8600.

The enumeration date for this NPI number is 12/2/2011 and was last updated on 12/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165908238MEDICAIDKENTUCKY
20789MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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